14D2113354 CLIA NUMBER - MARIANO'S PHARMACY

Laboratory Demographics

  • CLIA Code: 14D2113354
  • Facility Name: MARIANO'S PHARMACY
  • Facility Address: 1300 S NAPER BLVD
    NAPERVILLE, IL
    ZIP 60540
  • Facility Phone: 630 637-9921
  • Facility Type: Pharmacy
  • Facility Type: Waiver
  • Lab Director: KATHLEEN STAPLEY
  • NPI Number: 1447611702
  • Taxonomy: 3336C0003X - Pharmacy

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CLIA Record

Field Name Field Value
CLIA Number 14D2113354
LAB Type Pharmacy
Facility Name MARIANO'S PHARMACY
Street 1300 S NAPER BLVD
City NAPERVILLE
State IL
ZIP 60540
Phone 630 637-9921
Certificate Type Certificate of Waiver
Certificate Type Description This certificate is issued to a laboratory to perform only waived tests.
Certificate Effective Date 5/20/2024
Certificate Expiration Date 5/19/2026
Facility Type Pharmacy
Lab Director KATHLEEN STAPLEY

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This page was last updated on: 9/29/2025